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Showing results for "medication errors".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45961/psn-pdf
    June 23, 2017 - https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850348/psn-pdf
    June 14, 2023 - Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in the home

  3. Reducing interruptions to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
    January 04, 2015 - Study Reducing interruptions to improve medication safety. Citation Text: Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. Copy Citation Format: DOI Google Sc…

  4. Patient safety issues continue to plague American hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
    November 20, 2015 - Commentary Patient safety issues continue to plague American hospitals. Citation Text: Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406. Copy Citation Format: DOI Google Scholar PubMed B…

  5. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

    psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
    July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

  6. Human Factors | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/human-factors
    January 01, 2023 - Human Factors Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of art…

  7. Creating an integrated patient safety team. | PSNet

    psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
    January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…

  8. Inability of providers to predict unplanned readmissions. | PSNet

    psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
    December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…

  9. Effect of a hospital command centre on patient safety: an interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
    July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…

  10. Business Intelligence dashboards for patient safety and quality: a narrative literature review. | PSNet

    psnet.ahrq.gov/issue/business-intelligence-dashboards-patient-safety-and-quality-narrative-literature-review
    February 09, 2022 - Review Business Intelligence dashboards for patient safety and quality: a narrative literature review. Citation Text: Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3…

  11. Errors associated with outpatient computerized prescribing systems. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/errors
    January 01, 2023 - Errors associated with outpatient computerized prescribing systems. Citation Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc 2011 Nov-Dec;18(6):767-73. Link Nanji KC, Rothschild JM, Salzberg C, et al. Error…

  12. Value and Patient Safety | PSNet

    psnet.ahrq.gov/curated-library/value-and-patient-safety
    October 30, 2019 - Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication … errors. … Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication … errors. … errors.

  13. Patient-physician racial and ethnic concordance and perceived medical errors. | PSNet

    psnet.ahrq.gov/issue/patient-physician-racial-and-ethnic-concordance-and-perceived-medical-errors
    July 27, 2022 - July 24, 2019 ISMP medication error report analysis.

  14. Capturing more emergency department errors via an anonymous web-based reporting system. | PSNet

    psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
    July 22, 2019 - July 16, 2008 Medication error prevention by clinical pharmacists in two children's hospitals

  15. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

  16. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
    June 02, 2025 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

  17. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
    January 01, 2010 - • PSO Alert – High Alert Medications ► 1 in 5 medication errors reported to PSO in 2014 involved

  18. Wrong-patient orders in obstetrics. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
    September 23, 2020 - Medication errors were the largest source of order errors and commonly involved antibiotics and opioid

  19. The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
    May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

  20. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet

    psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
    August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…
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